NPIMap

Organization Active NPI

Perry County Health System

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Perryville, MO
National Provider Identifier
1447489182
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
PERRY COUNTY HEALTH SYSTEM
Practice address
206 Hospital LN
Suite 202
Perryville, MO 63775-1276
Phone
(573) 768-3364
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Patrick Carron
Title
President / Ceo
Phone
(573) 547-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

206 Hospital LN
Suite 202
Perryville, MO 63775-1276

Mailing address

206 Hospital LN
Suite 202
Perryville, MO 63775-1276

Other names 1

  • PERRY COUNTY ORTHOPEDICS & SPORTS MEDICINE Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1447489182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL LN",
            "address_2": "SUITE 202",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOSPITAL LN",
            "address_2": "SUITE 202",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637751276",
            "telephone_number": "573-768-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "CARRON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "573-547-2536",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRY COUNTY ORTHOPEDICS & SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.